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General NPI Number Information
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NPI Number | 1598419459
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Entity Type | Organization
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Legal Business Name | STONE'S ANGEL CARE, LLC
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 16319 DINSDALE DR
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City | SPRING HILL
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State | FL
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Zip | 34610-6519
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Country | US
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Telephone | 352-678-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 12922 SAULSTON PL
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City | HUDSON
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State | FL
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Zip | 34669-5049
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Country | US
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Telephone | 352-678-5277
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Fax |
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Authorized Official
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Title or Position | WAIVER PROVIDER
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Name | CAROL K STONE
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Credential |
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Telephone | 352-678-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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